Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00278
toili& DEVELOPMENT SERVICES DATE ISSUED: 7/27/01
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01403
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 283,488.00
Remarks: Reroof permit, existing built -up roof to be removed and deck repaired if required.
Owner: Contractor:
MAY DEPT STORES COMPANY, THE SNYDER ROOFING OF OREGON LLC
ATTN: PROPERTY TAX DEPT PO BOX 23819
611 OLIVE STREET TIGARD, OR 97281
S PnLonelS, MO 63101 Phone: 620 -5252
Reg #: LIC 135987
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Dryrot after tear -off
PRMT CTR 7/27/01 $1,460.20 27200100000 Final Inspection
5PCT CTR 7/27/01 $116.82 27200100000
Total $1,577.02
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 - . .h OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -66 • • or .10- 332 -2344.
Pe rm ittee i
Signature:
IF '•
Issued By: (/�‘ — i '
Call 639 -4175 by 7 p.m. for an inspection the next business day
. .
pi .,
A . Building Permit Application
Datereceived: 7 ®. Permit no.- + _
. j; :g City of Tigard Project/appl.no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm Other: :..
JOB SITE INFORMATION
Job address: 00 S (.l) a- ,lt -frM Sej .t. Je_ Rot, Bldg. no.: Suite no.:
Lot: Block: Subdivision: ' Tax map /tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
KEE �, (Floodplain, septic capacity, solar, etc.)
Mailing address: 6A1 W :41 l e , 1& 2 family dwelling:
EF , State ZIP: ' 7,20 Valuation of wo .... $
Phone: - 3 Fax', - . 0 E -mail: No. of bedrooms/baths
Owner's representative: -r r ) r ..t"; Total number of floors
Phone: , - 5 wzga E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Q " Gvt LLC- Covered porch area (sq.
Mailing address: • • Q (j ' - (' Deck area (sq. ft.)
imina zi , , , _ ; Other structure area (sq. ft.)
Phone: _ * _ al Fax:*; to E- mail: Commerciallmdustrial/multi- family:
CONTRACTOR Valuation of work $ a 8 3 , y88
Existing bldg. area (sq. ft.) yg 3 CO
' O • • New bldg. area (sq. ft.) O
Address:I.� I, _ o Number of stories
Type of construction
Phone: „ C _ _ Fax: 7 & E -mail:
Occupancy group(s): Existing:
CCB no.: • 1 - : 7 New:
City /metro lic. no.: t/ Notice: All contractors and subcontractors are required to be
ARCIIITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Address: Co „ I 1- } (y /Qt. jurisdiction where work is being performed. If the applicant is
i ZIP: Sa 0
exempt from licensing, the following reason applies:
Contact person: ,, ,, MIll Plan no.: i i ; („ s 0 Co G
Phone: ' - -
' /DO J%F .il;'
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws ' "ordinances governing this O Visa ❑ MasterCard
work will be complied w' er si . • herein or not. Cotdit card number. E
P
A signa ' D ate: 7 - .29-o f Name of cardholder as shown on credit card
Print name: . .. Cardholder signature Amount
•
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (64C10/COM)
i 1 440 :P /5?7 -
Lt
CITY OF TIGARD 24 -Hour
-BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 ✓
/ .� BUP � °D A 7?
Received Date Requested AM /fiS PM BUP
Location 9✓�0 0 l.()1 - S O- - Suite MEC
Contact Person �l tPh ( ) ' PLM
Contractor • Ph ( ) SWR
• :111111r11Re' Tenant/Owner - T r ELC
Footing
Foundation _ ELC
Ass
Ftg Drain 2:�1 -� / ' � � z
9 ' ELR
Crawl Drain �v
Slab Inspection Notes: six
Post & Beam Shear Anchors p f •
Ext Sheath/Shear J �v'( t'
Int S r Shear # C — /A.•
�
Insulation �
Drywall Nailing Firewall / K^� -
Fire Sprinkler ���
Fire Alarm /
Susp'd Ceiling it(�-
Roof r<1
Ot•: - .
Fina
FAIL
• -'BI 7. lid ) 2A..)(2s' I
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain •
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA '7 �`'� Zf /ZAC Approach/Sidewalk Date / Inspector Ext
Other:
Final • DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL